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General NPI Number Information
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NPI Number | 1124295548
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Entity Type | Organization
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Legal Business Name | DAVID NESS OD PA
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Dates
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Enumeration Date | 05/14/2008
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Last Update Date | 05/14/2008
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Provider Practice Location Address
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Address Line | 15936 E HIGHWAY 40
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City | SILVER SPRINGS
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State | FL
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Zip | 34488-5144
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Country | US
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Telephone | 352-625-0135
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Fax |
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Provider Business Mailing Address
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Address Line | 15936 E HIGHWAY 40
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City | SILVER SPRINGS
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State | FL
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Zip | 34488-5144
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Country | US
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Telephone | 352-625-0135
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DAVID NESS
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Credential | OD PA
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Telephone | 352-625-0135
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 2612
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License Number State | FL
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